| Canyon Medical Center | |
|
5061 N Rainbow Blvd Ste 180 Las Vegas NV 89130-1689 | |
| (702) 220-8001 | |
| (702) 395-4500 |
| Full Name | Canyon Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 5061 N Rainbow Blvd Ste 180, Las Vegas, Nevada |
| Authorized Official Name and Position | Ramanathan Muthaiah (OWNER) |
| Authorized Official Contact | 7022208001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Canyon Medical Center 5061 N Rainbow Blvd Ste 180 Las Vegas NV 89130-1689 Ph: (702) 220-8001 | Canyon Medical Center 5061 N Rainbow Blvd Ste 180 Las Vegas NV 89130-1689 Ph: (702) 220-8001 |
| NPI Number | 1124170493 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 04/25/2011 |
| Medicare PECOS PAC ID | 3577597046 |
|---|---|
| Medicare Enrollment ID | O20050923000337 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124170493 | NPI | - | NPPES |
| Provider Name | Ramanathan Muthaiah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356367734 PECOS PAC ID: 4688568561 Enrollment ID: I20040211000747 |
| Provider Name | Shirley Bigcas Moorjani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952844664 PECOS PAC ID: 2365726239 Enrollment ID: I20170222000438 |
| Provider Name | Imelda Chi Sam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053819755 PECOS PAC ID: 4880957745 Enrollment ID: I20180406001475 |
| Provider Name | Vicki Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790281889 PECOS PAC ID: 9739434150 Enrollment ID: I20180626000664 |
| Provider Name | Ana Maria Velasco De Oca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528492162 PECOS PAC ID: 8426476664 Enrollment ID: I20200921000274 |
| Provider Name | Janica C Trice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184239659 PECOS PAC ID: 8325453780 Enrollment ID: I20210216003021 |
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